Individual
KELSEY MAE MAFFETT GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1696 RIDGESTONE LN, KERNERSVILLE, NC 27284-6644
(336) 970-1068
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
294297
NC
363L00000X
Nurse Practitioner
Primary
5015717
NC
363LF0000X
Family Nurse Practitioner
5015717
NC
Other
Enumeration date
01/10/2022
Last updated
09/11/2025
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